In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.
The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:
Symptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.
Diabetes diet chart:
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!
Advice for diabetes patient:
Piles or haemorrhoids is a condition in which the rectal veins become varicosed, thus causing bleeding and swelling or protrusion of mass through anus. Hemorrhoids are clumps or cushions of tissue which get aggregated around the anal canal and are full of blood vessels, muscles and elastic fibres. Piles can be of various sizes and are found inside the anus or around the anal region. However, piles found inside the anal canal are way more common than the external ones and are known as Internal Piles/Hemorrhoids. In most cases, this condition can be treated by taking required medicines along with following a high-fibre diet. However, in some cases, the piles might be severe and need to be removed surgically.
The common symptoms of piles are blood discharge while eliminating faeces and abnormal enlargements around the anal region. Piles might also be characterised by excessive itching of the anal region and pain during defecating. In Ayurvedic terms, piles are called Arshas which translates to extremely painful conditions akin to the piercing of needles. This condition can be gotten rid of by availing of various Ayurvedic remedies.
Treatment of piles using Ayurveda usually includes dietary and lifestyle changes; making most of the remedies easily implementable.
Listed below are some Ayurvedic remedies:
Herbs used for ayurvedic treatment of piles include Haritaki and jimikand. Diet: Permanent moderation of diet is needed for the treatment of piles.
Some dietary changes include:
Starchy foods such as yellow pumpkin and potato should be avoided and replaced with fibrous foods. Inclusion of mango and sesame seeds adds bulk to the diet and helps in preventing constipation. Natural food softeners such as ‘jambul’, ‘amalaki’, dried figs and papaya are also recommended. Vegetables having larger amounts of roughage, such as turnip, onions, radish, ginger and bitter gourd should be added to the diet.
Some of the basic lifestyle changes include: Regular cleansing of the colon. Regular exercise is mandatory. A normal and healthy sex life should be followed. Aggravation of symptoms of piles is caused due to abnormal or excess sex. Avoiding sitting for long periods. Consume enough water in a day (about 2-3 liters).
In third and fourth grade piles when medicines don't work, surgery is advisable and kshar sutra treatment is an Ayurvedic surgical procedure that can remove piles masses permanently. Kshar sutra treatment must be taken by qualified and experienced Ayurveda Doctor. Surgical treatment of piles is not necessary in all cases; only 3rd or 4th degree piles which are larger in sizes and bleed often require surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!
Hemorrhoids are commonly known as piles. They are swollen blood vessels or blood clots in or around the anus and rectum. The veins are located in the lowest part of the rectum and the anus and in some instances they can swell which makes the vein walls to stretch. This, in turn, can restrict or irritate the passing of the bowel movements. Piles can be broadly classified into two general categories internal and external.
While there are many treatment plans of curing piles, nothing can come near the age-old treatments in curing piles. The treatment focuses on curing the symptoms from within and concentrates on the root cause of the problem. This makes it more efficient as far as the treatment is considered and it drastically reduces the chances of haemorrhoids from occurring again. While there are some medications as a part of treatments, it is also mandatory that one must follow a strict diet regime for the treatment to be a success. The diet rule is also very much needed for the treatment to be a success.
Let us look at the diet plan that is needed for a treatment against piles/Fistula. You can consult with your doctor to get to know more about this.
Impartant food items you must note
In case you have a concern or query you can always consult an expert & get answers to your questions!
Piles or hemorrhoids is the disease in which blood vesselsof anal canal protrude out of body. Usually they are painless but cause painless bleeding from anus. Main cause of piles is constipation. Fissure is also caused by dry stools. It is a cut into sides of anal canal is always accompanied by pain, severe pain. Treatment for both conditions is completely different. Piles usually requires surgery. Fissure is treated with mainly medicines and rarely requires surgery.
Both conditions occur because of dehydration, lack of fibres in diet. 3-4 litres of water and 200 grams of fruits everyday prevents both the conditions.
It's always better to treat both condition with a combination of allopathy and ayurvedic drugs.
Piles, also known as hemorrhoids refer to a condition in which the veins around the anus or lower rectum are swollen and inflamed. Hemorrhoids may result from straining during excretion. Other contributing factors include pregnancy, aging, chronic constipation or diarrhea and anal intercourse.
Piles or hemorrhoid
Hemorrhoid in physiological state act as a cushion composed of arterio-venous channels and connective tissue in the rectum that aid the passage of stool, but due to excess pressure in the abdominal area or pelvic area blood vessels near the anus are engorged and swollen and their walls becomes stretched, thin and irritated by passing stool.
Classification: it is of two types
Internal hemorrhoid is located higher in the inside lining of the rectum cannot felt unless they are substantially enlarged. It usually presents as painless bleeding. Sometimes internal hemorrhoids prolapsed or protrude outside the anus you may be able to see or feel them as moist of skin. Prolapsed hemorrhoids may hurt because the anus is dense with pain sensing nerve. Prolapsed hemorrhoids usually recede into the rectum on their own or by gently pushed back into place.
External hemorrhoids are located underneath the skin that surrounds the anus and can be felt when they swell. Blood clots sometimes form within prolapsed external hemorrhoids, which is extremely painful (thrombosis). It present with pain in anal area with blood or without blood.
Hemorrhoid is generally not dangerous unless they become infected. Complication can include thrombosed or strangulated hemorrhoids, bacterial infection and skin fissures. Rely bleeding from hemorrhoid lead to anemia.
Mechanical causes: any activity that puts sustained pressure on the tissue in the anal or pelvic floor area e. G.
Carrying or lifting heavy loads
Sitting or standing for long periods, long distance driving, prolong working on the desk or bicycling
Dietary factors: e. G. Low fiber diet, oily spicy and processed food, food in low micro minerals etc.
Aging: connective tissue becomes less resilient in aged person.
Overweight and obesity: this leads to poor vascular health as result of inflammation and poor nutrition.
Predisposing factors: deficit in anti-inflammatory foods combined with an over consumption of inflammatory food contributes to unhealthy blood vessel function throughout the body including anal area.
Low fiber diet
High in refined carbohydrate and animal products.
Diet low in essential fats e. G. Omega 3
Diet low in micro minerals including zinc & chromium
High alcohol consumption.
Obesity or overweight
All the above are the risk factors for inflammation which is aggravated by constipation, pregnancy, standing for long period or prolong sitting on desk.
Reduction of constipation and soften stool by consuming enough fiber and water.
Strengthen and fortify vascular and connective tissue in the anal area and elsewhere by consumption of anti inflammatory diet.
Lifestyle measures to avoid hemorrhoids e. G. Good bowel function, exercise and healthy evacuation posture.
Reducing constipation and softening stool:
Consume high fiber foods as a part of high biber diet. < >Grain products: (6-11 servings of grain product in your diet is required daily) whole grain breads, whole wheat, whole grain rye, mixed grain, cracked wheat, buns, muffins. Brown ricewhole wheat pasta or brown rice pastacereals made from whole grain oatmeal ground flax, wheat germ or wheat bran in baked goods vegetables: (3-5 servings daily) dark green leafy vegetables contain heigest amounts of fiber e. G. Spinach, broccoli, green peas, green beans, turnip greens. Fruits: (2-3 serving of fruits) apples. Oranges, pears, peaches. Berries (strawberries, raspberries, blueberries, and blackberries) dried fruits (dates, prunes (alu bukhara), apricots (khubaanee) legumes, nuts and seeds:
Black bean, green beans, peas, kidney bean, lentils, peanut, soy bean
Walnuts, peanuts, cashews, sunflower seeds
High fiber food relieves the constipation which ultimately reduces the abdominal and colonic pressure resulting low incidence of hemorrhoid.
Plenty of water as a part of a hemorrhoid diet: water is key for fiber to function as an antidote to constipation
Avoid a diet high in refined carbohydrate as part of your hemorrhoid diet.
Avoid saturated fats, non vegetarian food, trans-fats which leads to inflammation.
Strengthen and fortify vascular and connective tissue in the anal area and elsewhere by consumption of anti inflammatory diet.
Omega 3 fat: it plays important role in maintaining healthy skin and mucus membrane. It has important anti inflammatory function which is extremely useful when it is consumed in a condition like hemorrhoids. As the consumption of omega 3 fat increases ratio of omega 6 and omega 3 lowers. It is abundant in cold water fish and their oils and in seeds and their oils e. G. Flax seeds
“flax seeds (alsi)- soak ¼ cup of flax seeds overnight in a glass of water and drink the gel on next day or boil it till the water become half and drink the gel on same day.”
Vitamin c: it maintains the healthy blood vessels and maintain tissue matrix. And increases the body immunity also. Rich source are blackberries, raspberries, broccoli, spinach, guavas, amla, lime melon, orange, papaya, pineapple, tomato.
Vitamin e: it is a fat soluble vitamin which maintains healthy cell membrane as well as the prevention of inflammation. It is helpful in healing the inflamed tissue and trying to shrink the hemorrhoids. Rich source of it are nuts and seeds.
Magnesium: it is a key mineral for vascular tone and integrity as well as nerve and muscle function. It increases the peristaltic action of the colon that propels feces towards the anus. Dark leafy vegetables are rich source of magnesium.
Zinc: it plays important role of anti inflammatory diet and beneficial for hemorrhoid. Nuts and grains are rich source. You can supplement with 9mg /day (adult dose) aaaa
Lifestyle measures to avoid hemorrhoids:
Proper defcation technique: avoid straining when seated on the toilet. “posture key factor is that your bent knees remain higher than your hips.” this posture promotes easier elimination and avoid strain or pressure in the anal are thus contributes in minimizing hemorrhoids.
Exercise: it is an important factor to maintain the tone of abdominal and pelvic floor muscle to avoid hemorrhoids. Kegel exercise strengthen the pelvic floor muscle which is done as follow
First step – locate the pelvic floor muscle “ stop urination in midstream, now you have located the pelvic floor muscle.
Second step- lye down & contract these muscle for a slow count of five.
Third step- release the muscles to a slow count of five
Repeat this exercise for 10 times three times daily
Avoid activities that put pressure on your back e. G. Prolong standing, sitting on desk for long time, strenuous work, lifting or carrying heavy materials.
Avoid stress which is a risk factor for hemorrhoids as it aids in constipatin and inflammation. Stress release the harmones which inhibit bowel movement.
Chew food slowly which helps in digestion and absorption of nutrients.
Take small and frequent meals.
Dinner should be light and 2 hour before retiring to bed.
Morning walk for 35 minutes daily
Meditation and exercise daily for 30 minutes without strain.
No smoking, no alcohol no tobacco
Non oily, non spicy and processed food is to be avoided.
No hurry worry and curry
Treatment: it is symptomatic. (as per advice of physician exclusively) e. G.
Pain- local application of xylocain gel, proctocydel ointment etc. Analgesic and anti-inflammatory drug like ibugesic after meal or turmeric with milk
Infection- antibiotic e. G. Terramycin sf 500 mg 6 hourly for 5 days and metronidizol 400 mg 1 tab. Thrice daily for 5 days.
Supplement with vitamins e & c, mineral zinc and magnesium
Stool softener like softovac sf, mucain gel
Aurvedic medicin like pilex aesculus hippocatanum
Homeopathic medicin like aesculus hippocastanum
Piles also known as haemorrhoids. It is a condition in which there is swelling and inflammation around the anus and in the lower rectum. It is a condition in which the person experiences extreme pain while pooping and there may also be blood in few cases. It is very common, both in men and women. There are as many as four types of piles, such as internal, external, protruding and blind piles. There are several factors, which cause piles such as:
The signs and symptoms of piles may vary according to your type. The most common being severe pain with blood appearing along the passage of stool or on the tissue paper. If you are suffering from internal haemorrhoid it might protrude through the anus outside your body, which is extremely painful and irritating. In case of external haemorrhoids you might feel a hard and painful lump around the anus. Excessive rubbing and cleaning the area may also cause itchiness, pain and bleeding.
Are you feeling an excruciating pain in the anal region? Is there a lump around the area that you can feel? Commonly called Piles, hemorrhoids, is a phenomenon where the blood vessels are inflamed or expanded in the anal canal. Veins in and around the anus and rectum are comparatively weak than the arteries which are quiet intense. This is because the walls of the veins are pretty thin and pain or discomfort arises when there is too much pressure on the walls. There are two kinds of Piles the internal piles and the external piles; the discomfort and severity depend on the kind of piles you are suffering from.
Causes behind it
The causes of hemorrhoids are not certain and anyone can get affected by the condition. It is more prevalent in elderly people and pregnant women. Sometimes, the condition is also hereditary, so if your parents or grandparents suffered from piles, there is a possibility that you may develop it too. When the veins in the anal region are subjected to pressure, the veins swell causing painful hemorrhoids.
The common symptoms associated with the condition are:
- Bleeding from the anus
- Painful lump or swell near the anus
- Anal itching
- Tenderness or pain during bowel movements
- Mucus Anal discharge
Treatment options for piles
In few cases, the Hemorrhoids can be treated with home remedies like a change in diet, warm sitz baths, and avoiding foods that may lead to constipation. For hemorrhoids of the first, second and third-degree, medications, home remedies and manual methods are preferred approaches. However, when the condition persists for an extended period with severe pain it is best to consider your physician.
The piles can be treated with:
Surgery is suggested when no other remedies for piles have responded. In the case of prolapsed hemorrhoids, or the fourth degree and higher degree, surgical methods need to be implemented. In common, surgery is deemed as the last option for piles treatment. Piles surgery is prescribed particularly by the surgeons in the situation where pain becomes unbearable.
The surgical treatments
Hemorrhoidectomy: This is the surgery done to remove piles. The physician performs a few minute cuts around the anus to remove them away. The area which is under operation is put under local or general anesthesia. Hemorrhoidectomy is often a procedure for the outpatient case, and you are typically discharged on the same day itself. The patient usually takes about two to three weeks, to recover fully but then it can even take as long as five to six weeks to get back to normal pain-free life again.
PPH: Another surgical method is PPH. It is also known as stapled hemorrhoidectomy. In this surgery, the physician uses a device which looks like a stapler to reposition the pile and struck off their supply of blood so that they eventually shrink and die out. This surgical procedure is less painful than traditional hemorrhoidectomy as it removes hemorrhoid to where there are fewer nerve endings, so it hurts less. There will be faster recovery, few or no complications, minor itching, and bleeding.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Piles are painful, swollen veins in the lower portion of the rectum or anus. This condition is very common, especially during pregnancy and after childbirth. Piles result from increased pressure in the veins of the anus. The pressure causes the veins to bulge and expand, making them painful, especially while sitting. The most common cause is straining during bowel movements. Hemorrhoids may results from constipation, sitting for long periods of time, and anal infections. In some cases, they may be caused by another disease such as liver cirrhosis. Classification Piles are classified mainly in to Internal piles - occur just inside the anus, at the beginning of the rectum. External piles - occur at the anal opening and may hang outside the anus. Causes of piles Repeated pressure on the anal or rectal veins, which causes them to stretch. Risk factors involved A diet lacks fiber Prolonged sitting or standing Overweight people Pregnancy Chronic constipation Chronic diarrhea Loss of muscle tone in older adults Rectal surgery or episiotomy Liver disease Anal intercourse Colon cancer Sign and symptoms Although piles may be asymptomatic, they characteristically cause painless, intermittent bleeding, which occurs on defecation. Bright red blood appears on the stool. These first degree piles may itch because of poor anal hygiene. When second degree piles prolapse, they are usually painless and spontaneously return to the anal canal following defecation. Third-degree piles cause constant discomfort and propalse in response to any increase in intra-abdominal pressure. They must be manually reduced. Thrombosis of external piles produces sudden rectal pain and a subcutaneous, large, firm lump that the patient can feel. If piles cause severe or recurrent bleeding, they may lead to secondary anemia with significant pallor, fatigue, and weakness; however, such systemic complications are rare. Diagnosis of piles Diagnosis mainly includes physical examination which confirms external piles. Proctoscopy is mainly done in the case of suspected internal piles and rectal polyps. Homeopathic treatment of piles Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using a holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat piles but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat piles that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of piles: Aesculus Hip. - abdominal plethora; throbbing deep in abdomen, particularly in hypogastric region; piles, bleeding or not, with feeling of dryness in rectum; as though little sticks or splinters were pricking the folds of the mucus membrane; weak feeling at sacro-iliac symphysis; though the legs were about to give out, worse by stooping forward and when walking; aching between shoulders; desire to strain at stool for a long time, pain shoot up the rectum; from the tumors, with lameness and aching in back, purple piles; depressed and irritable. Dark red congestion of fauces, with dryness and soreness, from abdominal plethora. Collinsonia - excellent remedy for piles; obstinate cases of piles; especially used in females with the inertia of the rectum and a congestive tendency to the pelvic organs; it suits pregnant women who suffer from piles, and pruritus may be a marked symptom. The indicating symptoms are chiefly a sensation of sticks in the rectum, with constipation from the inertia of the lower bowel. It is specially applicable to heart pains resulting from a suppression of a habitual haemorrhoidal flow. Hamamelis - one of the best remedies for piles; bleeding piles; the flow of blood is quite copious, and the greatly characterized indication is excessive soreness. Aloes - one of the most useful remedies for piles; indicated where the piles protrude like a bunch of grapes, bleeding often and profusely, and are greatly relieved by the application of cold water. There is a very marked burning in the anus, the bowels feel as if scraped. There is a tendency to diarrhea, with the well known uncertain feeling in the lower bowel. Nux Vomica - if the piles are large and blind, with a burning, stinging and constricted feeling in the rectum and a bruised pain in the small of back, and especially if excited by sedentary habits or abuse of stimulants, than Nux Vomica may be prescribed. Itching piles keeping the sufferer awake at night, relieved by cold water, or bleeding piles with constant urging to stool. And a feeling as if the bowel would not empty itself are further indications. Capsicum - bleeding or blind piles, protruding swollen, itching, throbbing and burning as if pepper were sprinkled on them. Sore feeling in the anus. Piles with mucus discharge, bloody mucus stool. Great thirst followed by shuddering after stool. Associated symptoms are persistent thoughts of suicide, lack of vital heat, craving for warm things, stimulants and pungent things. Muriatic acid - piles large, swollen, dark purple or blue haemorrhoides which are extremely sensitive and pains to touch. Inflamed piles, hot and pulsating, must lie with limbs wide apart, too sore, to bear the least touch even the bed sheet is uncomfortable. Piles while urinating or with stool, bleeding piles with burning and cutting during and after stool. Ameliorated by the warm application; aggravation by cold application. Sulphur - sulphur is a very good remedy for piles when the constitutional symptoms are there. External and internal piles, great bunches that are sore and raw, burning and tender, and bleed and smart with loose stool, complaints aggravate when standing when washing and from the warmth of bed. Ammonium carb - piles protrude, independent of stool; protrusion of piles after stool with long lasting pains; cannot walk, or the piles protrude during a stool and recede when lying down; they are usually moist and pain as if excoriated; bloody discharge during and after stool.